Individual
MS. DESITHA MERTILUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ARNP
Contact information
Practice address
1750 E HALLANDALE BEACH BLVD, HALLANDALE BEACH, FL 33009-4611
(954) 276-9700
Mailing address
2636 SW 129TH TER, MIRAMAR, FL 33027-3851
(954) 562-8670
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
ARNP2904452
FL
363LF0000X
Family Nurse Practitioner
APRN2904452
FL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
APRN2904452
FL
363LP2300X
Primary Care Nurse Practitioner
Primary
APRN2904452
FL
Other
Enumeration date
07/31/2018
Last updated
04/09/2026
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